Pinebrook Dental Group in Park City - Dentist
Pinebrook Dental Group - NPI 1114148509
Pinebrook Dental Group is a Dentist in Park City, Utah. Pinebrook Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pinebrook Dental Group is 1114148509. The last update date is 2020-08-22.
Pinebrook Dental Group's current location address is 3080 Pinebrook Rd, Park City, Utah. You can contact this provider via phone number 4356496688 and fax number 4356490654. The mailing address for Pinebrook Dental Group is 3080 Pinebrook Rd, Park City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pinebrook Dental Group |
|---|---|
| Address | 3080 Pinebrook Rd, Park City, Utah |
| Phone Number | 4356496688 |
| Fax Number | 4356490654 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Knight Michael |
| Credentials | D.D.S. |
| Telephone Number | 4356496688 |
NPI Number Detail
| NPI Number | 1114148509 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3080 Pinebrook Rd |
|---|---|
| City | Park City |
| State | Utah (UT) |
| Post Code | 840985422 |
| Phone Number | 4356496688 |
| Fax Number | 4356490654 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 380199 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Pinebrook Dental Group's unique identification number?
The Pinebrook Dental Group has been assigned the NPI (National Provider Identifier) Number 1114148509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Pinebrook Dental Group's physical address?
The Pinebrook Dental Group is physically located at 3080 Pinebrook Rd, in the city of Park City, UT, with the postal code 840985422.
What is Pinebrook Dental Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pinebrook Dental Group is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Pinebrook Dental Group receive its 1114148509 assignment from the Centers for Medicare & Medicaid Services?
The Pinebrook Dental Group was assigned its 1114148509 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pinebrook Dental Group's details last updated?
The information pertaining to the Pinebrook Dental Group, including its address, specialty, and other details, was most recently updated on 2020-08-22.